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Prevalence and correlates of alcohol use in a central Nepal district: secondary analysis of a population-based cross-sectional study

  • S. D. Rathod (a1), N. P. Luitel (a2) and M. J. D. Jordans (a3) (a4)
Abstract
Background.

As reported from studies conducted in Nepal, between 15% and 57% of adults had ever consumed alcohol and between 1.5% and 25% of adults have alcohol use disorders (AUD). Few studies in Nepal have identified the correlates of consumption or described the help-seeking patterns and stigma among those affected with AUD.

Methods.

Interviewers administered the Alcohol Use Disorders Identification Test (AUDIT) as part of population-based surveys of adults in Chitwan District between 2013 and 2017. We conducted a secondary analysis to identify sociodemographic and health-related correlates of recent alcohol consumption using the χ2 test, to identify correlates of total AUDIT scores among men who drink using negative binomial regression, and to describe the treatment-seeking and stigma beliefs of men with AUD.

Results.

Over half (53.7%, 95% CI 50.4–57.0) of men (n  =  1130) recently consumed alcohol, and there were associations between being a drinker with age, religion, caste, education, occupation and tobacco use. Nearly one in four (23.8%, 95% CI 20.2–27.8%) male drinkers screened positive for AUD, and AUDIT scores were associated with age, caste, marital status, occupation, tobacco use, depression, functional status and suicidal ideation. Few (13.3%, 95% CI 11.7–15.0) women (n  =  2352) recently consumed alcohol, and 5.3% (95% CI 3.0–9.1) of female drinkers screened positive for AUD. Among AUDIT-positive men, 38% spoke to another person about their problems and 80% had internalized stigma.

Conclusions.

This study revealed that nearly one in four men who drink likely have AUD. Higher AUDIT scores were associated with depression, suicidality, dysfunctionality and internalized stigma.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
*Address for correspondence: N. P. Luitel, Research Department, Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal. (Email: luitelnp@gmail.com)
References
Hide All
Adhikari, S, Shrestha, MK, Adhikari, K, Maharjan, N, Shrestha, UD (2014). Factors associated with childhood ocular morbidity and blindness in three ecological regions of Nepal: Nepal pediatric ocular disease study. BMC Ophthalmology 14, 125.
Aryal, KK, Mehata, S, Neupane, S, Vaidya, A, Dhimal, M, Dhakal, P, Rana, S, Bhusal, CL, Lohani, GR, Paulin, FH, Garg, RM, Guthold, R, Cowan, M, Riley, LM, Karki, KB (2015). The burden and determinants of non communicable diseases risk factors in Nepal: findings from a nationwide STEPS survey. PLoS ONE 10, e0134834.
Aryal, KK, Neupane, S, Mehata, S, Vaida, A, Singh, S, Paulin, F, Madanlal, R, Riley, L, Cowan, M, Guthold, R, Singh, S, Bhusal, C, Lohani, G (2014). Non Communicable Diseases Risk Factors: STEPS Survey Nepal 2013. Nepal Health Research Council: Kathmandu, Nepal.
Atteraya, MS, Gnawali, S, Song, IH (2015). Factors associated with intimate partner violence against married women in Nepal. Journal of Interpersonal Violence 30, 12261246.
Babor, TF, Higgins-Biddle, JC (2001). Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care. World Health Organization: Geneva, Switzerland.
Babor, TF, Higgins-Biddle, JC, Saunders, JB, Monteiro, MG (2001). AUDIT: The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care. World Health Organization: Geneva, Switzerland.
Bam, K, Karki, DK, Lohani, SP, Thapa, R, Aryal, UR, Pathak, LR (2011). Adherence to anti-retroviral therapy among people living with HIV and AIDS in Far West, Nepal. Asian Journal of Medical Sciences 2, 713.
Bam, K, Thapa, R, Newman, MS, Bhatt, LP, Bhatta, SK (2013). Sexual behavior and condom use among seasonal Dalit migrant laborers to India from Far West, Nepal: a qualitative study. PLoS ONE 8, e74903.
Beecham, J, Knapp, M (2001). Costing psychiatric interventions. In Measuring Mental Health Needs, 2nd edn. (ed. Thornicroft, G.), pp. 200224. Gaskell/Royal College of Psychiatrists: London.
Benegal, V, Chand, PK, Obot, IS (2009). Packages of care for alcohol use disorders in low- and middle-income countries. PLoS Medicine 6, e1000170.
Blas, E, Kurup, AS, World Health Organization (eds) (2010). Equity, Social Determinants, and Public Health Programmes. World Health Organization: Geneva, Switzerland.
Bohra, P, Massey, DS (2009). Processes of internal and international migration from Chitwan, Nepal. International Migration Review 43, 621651.
Boyd Ritsher, J, Otilingam, PG, Grajales, M (2003). Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research 121, 3149.
Central Bureau of Statistics (2014). National Population and Housing Census 2011 (Village Development Committee/Municipality): Chitwan. Government of Nepal: Kathmandu, Nepal.
Chataut, J, Adhikari, RK, Sinha, NP (2011). The prevalence of and risk factors for hypertension in adults living in central development region of Nepal. Kathmandu University Medical Journal 9, 1318.
Cosic, D, Dahal, S, Kitzmuller, M (2017). Climbing Higher: Toward a Middle-Income Nepal. Country Economic Memorandum. World Bank: Washington DC.
Dhital, R, Subedi, G, Gurung, YB, Hamal, P (2001). Alcohol and Drug Use in Nepal with Reference to Children. Child Workers in Nepal Concerned Centre (CWIN): Kathmandu, Nepal.
Elhai, JD, Calhoun, PS, Ford, JD (2008). Statistical procedures for analyzing mental health services data. Psychiatry Research 160, 129136.
Gyawali, N, Gurung, R, Poudyal, N, Amatya, R, Shrestha, R, Khanal, LK, Timilsina, S, Bhattacharya, SK (2013). Tobacco and alcohol: the relation to pulmonary tuberculosis in household contacts. Nepal Medical College Journal 15, 125128.
Ho-Yen, SD, Bondevik, GT, Eberhard-Gran, M, Bjorvatn, B (2007). Factors associated with depressive symptoms among postnatal women in Nepal. Acta Obstetricia Et Gynecologica Scandinavica 86, 291297.
Jhingan, HP, Shyangwa, P, Sharma, A, Prasad, KMR, Khandelwal, SK (2003). Prevalence of alcohol dependence in a town in Nepal as assessed by the CAGE questionnaire. Addiction 98, 339343.
Jordans, MJ, Luitel, NP, Tomlinson, M, Komproe, IH (2013). Setting priorities for mental health care in Nepal: a formative study. BMC Psychiatry 13, 332.
Jordans, MJD, Kohrt, BA, Luitel, NP, Komproe, IH, Lund, C (2015). Accuracy of proactive case finding for mental disorders by community informants in Nepal. The British Journal of Psychiatry 207, 501506.
Jordans, MJD, Luitel, NP, Pokhrel, P, Patel, V (2016). Development and pilot testing of a mental healthcare plan in Nepal. The British Journal of Psychiatry 208, s21s28.
Katz, J, West, KP Jr, Khatry, SK, Christian, P, LeClerq, SC, Pradhan, EK, Shrestha, SR (2003). Risk factors for early infant mortality in Sarlahi district, Nepal. Bulletin of the World Health Organization 81, 717725.
Khan, RJ, Stewart, CP, Christian, P, Schulze, KJ, Wu, L, Leclerq, SC, Khatry, SK, West, KP (2013). A cross-sectional study of the prevalence and risk factors for hypertension in rural Nepali women. BMC Public Health 13, 55.
Kohn, R, Saxena, S, Levav, I, Saraceno, B (2004). The treatment gap in mental health care. Bulletin of the World Health Organization 82, 858866.
Kohrt, BA, Luitel, NP, Acharya, P, Jordans, MJD (2016). Detection of depression in low resource settings: validation of the Patient Health Questionnaire (PHQ-9) and cultural concepts of distress in Nepal. BMC Psychiatry 16, 58.
Kroenke, K, Spitzer, RL, Williams, JBW (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine 16, 606613.
Kulkarni, B, Christian, P, LeClerq, SC, Khatry, SK (2010). Determinants of compliance to antenatal micronutrient supplementation and women's perceptions of supplement use in rural Nepal. Public Health Nutrition 13, 8290.
Lee, C-H, Ko, AM-S, Warnakulasuriya, S, Yin, B-L, Sunarj, , Zain, RB, Ibrahim, SO, Liu, Z-W, Li, W-H, Zhang, S-S, Kuntoro, , Utomo, B, Rajapakse, PS, Warusavithana, SA, Abdul Razak, I, Abdullah, N, Shrestha, P, Kwan, A-L, Shieh, T-Y, Chen, M-K, Ko, Y-C (2011). Intercountry prevalences and practices of betel-quid use in south, southeast and Eastern Asia regions and associated oral preneoplastic disorders: an international collaborative study by Asian betel-quid consortium of south and east Asia. International Journal of Cancer 129, 17411751.
Lee, C-H, Ko, AM-S, Yen, C-F, Chu, K-S, Gao, Y-J, Warnakulasuriya, S, Sunarjo, , Ibrahim, SO, Zain, RB, Patrick, WK, Ko, Y-C (2012). Betel-quid dependence and oral potentially malignant disorders in six Asian countries. The British Journal of Psychiatry: The Journal of Mental Science 201, 383391.
Luitel, NP, Jordans, M, Murphy, A, Roberts, B, McCambridge, J (2013). Prevalence and patterns of hazardous and harmful alcohol consumption assessed using the AUDIT among Bhutanese refugees in Nepal. Alcohol and Alcoholism 48, 349355.
Lund, C, Tomlinson, M, De Silva, M, Fekadu, A, Shidhaye, R, Jordans, M, Petersen, I, Bhana, A, Kigozi, F, Prince, M, Thornicroft, G, Hanlon, C, Kakuma, R, McDaid, D, Saxena, S, Chisholm, D, Raja, S, Kippen-Wood, S, Honikman, S, Fairall, L, Patel, V (2012). PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Medicine 9, e1001359.
Manandhar, K, Koju, R, Sinha, NP, Humagain, S (2012). Prevalence and associated risk factors of hypertension among people aged 50 years and more in Banepa Municipality, Nepal. Kathmandu University Medical Journal 10, 3538.
Maskey, A, Parajuli, M, Kohli, SC (2011 a). A study of risk factors of stroke in patients admitted in Manipal Teaching Hospital, Pokhara. Kathmandu University Medical Journal 9, 244247.
Maskey, R, Karki, P, Ahmed, SV, Manandhar, DN (2011 b). Clinical profile of patients with cirrhosis of liver in a tertiary care hospital, Dharan, Nepal. Nepal Medical College Journal 13, 115118.
Ministry of Health and Population (MOHP) [Nepal], New ERA, ICF International Inc. (2012). Nepal Demographic and Health Survey 2011. Ministry of Health and Population, New ERA, and ICF International: Kathmandu, Nepal, Calverton, Maryland, USA.
Nadkarni, A, Weobong, B, Weiss, HA, McCambridge, J, Bhat, B, Katti, B, Murthy, P, King, M, McDaid, D, Park, A-L, Wilson, GT, Kirkwood, B, Fairburn, CG, Velleman, R, Patel, V (2017). Counselling for alcohol problems (CAP), a lay counsellor-delivered brief psychological treatment for harmful drinking in men, in primary care in India: a randomised controlled trial. The Lancet 389, 186195.
Oshiro, A, Poudyal, AK, Poudel, KC, Jimba, M, Hokama, T (2011). Intimate partner violence among general and urban poor populations in Kathmandu, Nepal. Journal of Interpersonal Violence 26, 20732092.
Poudel, KC, Jimba, M, Okumura, J, Joshi, AB, Wakai, S (2004). Migrants’ risky sexual behaviours in India and at home in far western Nepal. Tropical Medicine & International Health 9, 897903.
Pradhan, B, Chappuis, F, Baral, D, Karki, P, Rijal, S, Hadengue, A, Gache, P (2012). The alcohol use disorders identification test (AUDIT): validation of a Nepali version for the detection of alcohol use disorders and hazardous drinking in medical settings. Substance Abuse Treatment, Prevention, and Policy 7, 42.
Rathod, SD, De Silva, MJ, Ssebunnya, J, Breuer, E, Murhar, V, Luitel, NP, Medhin, G, Kigozi, F, Shidhaye, R, Fekadu, A, Jordans, M, Patel, V, Tomlinson, M, Lund, C (2016). Treatment contact coverage for probable depressive and probable alcohol use disorders in four low- and middle-income country districts: the PRIME cross-sectional community surveys. PLoS ONE 11, e0162038.
Riley, L, Cowan, M (2014). Noncommunicable Diseases Country Profiles 2014. World Health Organization: Geneva, Switzerland.
Robins, LN, Wing, MD, Helzer, MD, Babor, TF, Burke, J, Farmer, MD, Jablenski, MD, Pickens, R (1988). The composite international diagnostic interview. Archives of General Psychiatry 45, 10691077.
Shyangwa, PM, Joshi, D, Sherchan, S, Thapa, KB (2009). Psychiatric morbidity among physically ill persons in eastern Nepal. Nepal Medical College Journal 11, 118122.
Subba, SH, Binu, VS, Menezes, RG, Kumar, V, Rana, MS (2010). Physical assault related injuries in Western Nepal – a hospital based retrospective study. Journal of Forensic and Legal Medicine 17, 203208.
Tausig, M, Subedi, S, Subedi, J, Broughton, CL, Williams-Blangero, S (2004). The psychological disease burden in Nepal and its relationship physical health problems. Social Behavior and Personality: An International Journal 32, 419427.
UNDP (ed.) (2015). Work for Human Development. United Nations Development Programme: New York, NY.
United Nations Development Programme (2016). Human Development Report 2016: Human Development for Everyone. United Nations Development Programme: New York, NY.
Üstün, TB, Kostanjsek, N, Chatterji, S, Rehm, J (eds) (2010). Measuring Health and Disability: Manual for WHO Disability Assessment Schedule WHODAS 2.0. World Health Organization: Geneva.
Vaidya, A, Krettek, A (2014). Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site. International Journal of Behavioral Nutrition and Physical Activity 11, 39.
Vyas, S, Kumaranayake, L (2006). Constructing socio-economic status indices: how to use principal components analysis. Health Policy and Planning 21, 459468.
World Health Organization (2014). Global status Report on Alcohol and Health. World Health Organization: Luxembourg.
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